Accept calls and requests by providers and/or members/members representatives for pharmacy prior authorizations, exceptions, and appeals Enter authorizations and test claims into the pharmacy benefit system to ensure appropriate claim adjudication Perform system edits, data entry, and complete tracking logs Assist with departmental audits and quality improvement activities
Skills Pharmacy, Cpht, Call center, PTCB Top Skills Details Pharmacy,Cpht,Call center,PTCB Additional Skills & QualificationsEntry Level
Job Type & Location This is a Contract to Hire position based out of Chattanooga, TN. Pay And Benefits The pay range for this position is $24.00 - $24.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options....Solution IT Inc. is looking for a Dell Boomi Developer for one of its clients in - Remote Job Title: Dell Boomi Developer Skills Requirement Strong Boomi Development experience Knowledge of integration patterns and approaches (APIs, Microservices,...
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